| Kyle Shaw, | |
|
282 Stelton Rd, Xenia, OH 45385-5220 | |
| (937) 708-8348 | |
| Not Available |
| Full Name | Kyle Shaw |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 282 Stelton Rd, Xenia, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871322297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.189141 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Shaw, Po Box 212, Xenia, OH 45385-0212 Ph: (937) 708-8348 | Kyle Shaw, 282 Stelton Rd, Xenia, OH 45385-5220 Ph: (937) 708-8348 |
Nikita Trimble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 | |
Nikia Tamara Johnson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 996 N Monroe Ct, Xenia, OH 45385 Phone: 937-708-8348 | |
Robert A Leveck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-532-9306 | |
Alan Jefferis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 | |
Richard Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-0184 | |
Jillian Vincent, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 | |
Linda Mortensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 282 Stelton Rd, Xenia, OH 45385 Phone: 937-708-8348 |